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General NPI Number Information
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NPI Number | 1467135764
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Entity Type | Individual
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Provider Name | TRISHA SHARET PURRIER COTA
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Gender | Female
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 12770 COIT RD STE 870
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City | DALLAS
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State | TX
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Zip | 75251-1455
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Country | US
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Telephone | 979-756-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1914 WOODCREST DR UNIT 201
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418-5356
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Country | US
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Telephone | 361-215-0440
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 217833
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License Number State | TX
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